Ahmad, FHogg-Johnson, SheilahStewart, Donna EileenSkinner, HAGlazier, RichardLevinson, W2016-09-022016-09-022009-07Ahmad F, Hogg-Johnson S, Stewart DE, Skinner HA, Glazier RH & Levinson W. Computer-assisted screening for intimate partner violence and control: a randomized trial. Annals of Internal Medicine 2009. 151(2):93-102.http://hdl.handle.net/10315/31874Background: Intimate partner violence and control (IPVC) is prevalent and can be a serious health risk to women. Objective: To assess whether computer-assisted screening can improve detection of women at risk for IPVC in a family practice setting. Design: Randomized trial. Randomization was computer-generated. Allocation was concealed by using opaque envelopes that recruiters opened after patient consent. Patients and providers, but not outcome assessors, were blinded to the study intervention. Setting: An urban, academic, hospital-affiliated family practice clinic in Toronto, Ontario, Canada. Participants: Adult women in a current or recent relationship. Intervention: Computer-based multirisk assessment report attached to the medical chart. The report was generated from information provided by participants before the physician visit (n = 144). Control participants received standard medical care (n = 149). Measurements: Initiation of discussion about risk for IPVC (discussion opportunity) and detection of women at risk based on review of audiotaped medical visits. Results: The overall prevalence of any type of violence or control was 22% (95% CI, 17% to 27%). In adjusted analyses based on complete cases (n = 282), the intervention increased opportunities to discuss IPVC (adjusted relative risk, 1.4 [CI, 1.1 to 1.9]) and increased detection of IPVC (adjusted relative risk, 2.0 [CI, 0.9 to 4.1]). Participants recognized the benefits of computer screening but had some concerns about privacy and interference with physician interactions. Limitation: The study was done at 1 clinic, and no measures of women's use of services or health outcomes were used. Conclusion: Computer screening effectively detected IPVC in a busy family medicine practice, and it was acceptable to patients. Primary Funding Source: Canadian Institutes of Health Research and Ontario Women's Health Council."Reproduced with permission from Ahmad F. Computer-assisted screening for intimate partner violence and control: a randomized trial. Annals of Internal Medicine. 2009; 151(2):93-102. https://dx.doi.org/10.7326/0003-4819-151-2-200907210-00124 ©American College of Physicians.Articlehttps://dx.doi.org/ 10.7326/0003-4819-151-2-200907210-00124